Culture screening strep group a at St. Joseph Health Burleson Hospital
1101 Woodson Drive, Caldwell, TX · CommonSpirit Health · · NPI 1750377289
$68.95
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$394.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$5.97 with United vs $354.60 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United | Commercial|Exchange | $5.97 | ↓ -91% |
| BCBS | Medicare|All Plans | $6.63 | ↓ -90% |
| AETNA | Medicare|All Plans | $6.63 | ↓ -90% |
| UNITED | Medicare|All Plans | $6.76 | ↓ -90% |
| AMERIVANTAGE | Medicare|All Plans | $6.83 | ↓ -90% |
| SCANHealth | Medicare|All Plans | $7.09 | ↓ -90% |
| BCBS-TX | Commercial|Ref Lab | $7.21 | ↓ -90% |
| SUPERIOR | Medicaid|CHIP | $9.08 | ↓ -87% |
| UNITED | Medicaid|STARKIDS | $9.26 | ↓ -87% |
| UNITED | Medicaid|All Other Plans | $9.26 | ↓ -87% |
| BCBS | Medicaid|STARKIDS | $9.53 | ↓ -86% |
| SUPERIOR | Medicaid|All Other Plans | $9.53 | ↓ -86% |
| Ambetter | Commercial|All Plans | $9.61 | ↓ -86% |
| Wellpoint | Commercial|Exchange | $9.95 | ↓ -86% |
| SUPERIOR | Medicaid|STAR | $11.44 | ↓ -83% |
| Bright Health | Commercial|All Plans | $11.80 | ↓ -83% |
| Entrust | Commercial|All Plans | $13.26 | ↓ -81% |
| Cigna | Commercial|Local Plus | $14.35 | ↓ -79% |
| Ellwood | Commercial|All Plans | $19.89 | ↓ -71% |
| SUPERIOR | Medicaid|STARPLUS | $21.16 | ↓ -69% |
| UNITED | Medicaid|STARPLUS | $21.61 | ↓ -69% |
| BCBS-TX | Commercial|Blue Advantage HMO | $23.27 | ↓ -66% |
| BCBS-TX | Commercial|Blue Premier | $23.27 | ↓ -66% |
| BCBS-TX | Commercial|HMO | $23.74 | ↓ -66% |
| BCBS-TX | Commercial|PPO | $27.38 | ↓ -60% |
| Wellpoint | Medicaid|All Other Plans | $115.84 | ↑ +68% |
| Wellpoint | Medicaid|STAR | $139.01 | ↑ +102% |
| Health Smart | Commercial|All Plans | $216.70 | ↑ +214% |
| First Health | Commercial|All Plans | $236.40 | ↑ +243% |
| Humana | Commercial|All Plans | $240.34 | ↑ +249% |
| Cigna | Commercial|All Other Plans | $252.16 | ↑ +266% |
| Aetna | Commercial|All Plans | $252.16 | ↑ +266% |
| United | Commercial|All Other Plans | $307.32 | ↑ +346% |
| PHCS | Commercial|All Plans | $334.90 | ↑ +386% |
| Multiplan | Commercial|All Plans | $354.60 | ↑ +414% |
Visitor-reported prices
Comments
Culture screening strep group a at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $216.05 | $5.97 – $25.53 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $107.77 | $5.57 – $87.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $109.97 | $9.72 – $105.19 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $104.31 | $5.57 – $87.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $107.77 | $5.57 – $87.66 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $109.97 | $5.96 – $105.19 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $109.97 | $5.57 – $105.19 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $104.31 | $5.57 – $105.19 |